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General NPI Number Information
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NPI Number | 1154859528
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Entity Type | Organization
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Legal Business Name | PL RX PHARMACY INC
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9430 WARNER AVE STE G
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2826
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Country | US
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Telephone | 714-987-2351
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Fax | 714-987-2357
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Provider Business Mailing Address
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Address Line | 9430 WARNER AVE STE G
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2826
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Country | US
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Telephone | 714-987-2351
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Fax | 714-987-2357
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN VU
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Credential |
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Telephone | 714-987-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55533
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License Number State | CA
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